title: Managed care, attitudes, and career choices of internal medicine residents.
abstract: The influence of managed care on internal medicine residents' attitudes and career choices has not yet been determined and could be substantial. In a survey of 1,390 third-year internal medicine residents, 21% believed that managed care was the best model of health care for the United States, and 31% stated they would be satisfied working in a managed care system. Those from high managed care communities (>30% penetration) were only slightly more accepting of managed care, but were more likely to choose general internal medicine as a career (54%, p = .0009) than those from communities with lower managed care penetration.
authors.affiliation: Department of Medicine, Oregon Health Sciences University, Veterans Administration Medical Center, Portland 97201, USA.
authors.forename: H D
authors.initials: HD
authors.lastname: Nelson
authors.forename: A M
authors.initials: AM
authors.lastname: Matthews
authors.forename: G R
authors.initials: GR
authors.lastname: Patrizio
authors.forename: T G
authors.initials: TG
authors.lastname: Cooney
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D003153:Community Health Services; D003430:Cross-Sectional Studies; D006279:Health Maintenance Organizations; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D008329:Managed Care Programs; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014481:United States; D000078329:Workforce